Ana amfani da sukurori mai toshewa a cikin aikin asibiti, musamman a cikin gyaran kusoshi masu tsayi na intramedullary.
Ainihin, ana iya taƙaita ayyukan toshe screws a matsayin sau biyu: na farko, don raguwa, da na biyu, don ƙara kwanciyar hankali na ciki.
Dangane da raguwa, ana amfani da aikin '' toshewa' na toshe dunƙule don canza ainihin alkiblar gyare-gyaren ciki, cimma ragi da ake so da gyara jeri.A cikin wannan mahallin, toshe dunƙule yana buƙatar a sanya shi a wurin 'kar a tafi', ma'ana wurin da ba a son gyaran ciki.Ɗaukar tibia da femur a matsayin misalai:
Don tibia: Bayan shigar da waya mai jagora, an saita shi a kan kullin baya na tibial shaft, yana karkata daga tsakiyar layin medullary canal.A cikin al'amuran 'wanda ba a so', musamman na baya na metaphysis, an saka abin toshewa don jagorantar waya gaba tare da magudanar ruwa."
Femur: A cikin hoton da ke ƙasa, an nuna ƙusa na femoral na retrograde, tare da karyewar ƙare yana nuna madaidaicin waje.An ɗora ƙusa na intramedullary zuwa ɓangaren ciki na canal medullary.Sabili da haka, an shigar da dunƙule mai toshewa a gefen ciki don cimma canji a matsayi na ƙusa intramedullary.
Dangane da haɓaka kwanciyar hankali, an fara amfani da toshe sukurori don ƙarfafa kwanciyar hankali na ɗan gajeren karaya a ƙarshen ɓangarorin tibial.Ta hanyar hana motsin kusoshi na intramedullary ta hanyar toshe ayyukan sukurori a cikin tarnaƙi na ciki da na waje, kamar yadda aka kwatanta a cikin misali na intercondylar femoral da fashewar supracondylar da ke ƙasa, ana iya ƙarfafa kwanciyar hankali na ƙarshen fashe.Wannan yana taimakawa hana motsin ƙusa na intramedullary da guntun kashi mai nisa.
Hakazalika, a cikin gyaran gyare-gyare na tibial fractures tare da kusoshi na intramedullary, ana iya amfani da yin amfani da kullun da aka toshe don inganta kwanciyar hankali na ƙare.
Lokacin aikawa: Fabrairu-02-2024
